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Contracted Health Plans

When confirming if our laboratory is an approved provider we may be listed as SHC Reference Laboratory on your insurance's website.

Billing Terms

HMO Billing Information

When requesting SHC Reference Laboratory to bill 3rd party insurance please include the following information with the sample submission.

Patient demographics must include:

  • Full Name
  • Date of Birth
  • Mailing Address

Insurance information must include:

  • Name of Insurance Company
  • Member ID#
  • Subscribers full name on the plan

Commercial Health Plans and Networks

When confirming the network status of our laboratory with your health plan, the health plan may ask for the laboratory NPI or Tax ID number. That information is listed below.

SHC Reference Laboratory
Tax ID #06-1635505
NPI: 1174698468

If performing professional services (your case is reviewed by a pathologist)
Stanford Health Care Hospital Tax ID: 77-0465765
Stanford Health Care Hospital NPI: 1871543215

For Stanford Health Care patients, please see https://stanfordhealthcare.org/for-patients-visitors/billing/health-insurance-plans.html

Government Program Payors

  • Medicare *
  • Medi-Cal
  • Nevada State Medicaid
  • Tricare Extra (PPO)
  • Tricare Standard (Idemnity)
  • Tricare Prime (POS)
  • Washington State Medicaid

*The originating hospital is responsible for any laboratory fees associated with the technical components (TC) of anatomic pathology referral services (CPT 88000-88400) provided to hospital inpatients or outpatients.


 
 


 
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